Defining Standards for Fluoroscopy in Gastrointestinal Endoscopy using a Delphi Methodology

Background and Study Aims The use of fluoroscopy in gastrointestinal endoscopy is an essential aid in advanced endoscopic interventions. However, it also raises concerns about radiation exposure. This study aimed to develop consensus-based statements for the safe and effective use of fluoroscopy in gastrointestinal endoscopy, prioritizing the safety and well-being of healthcare workers and patients. Methods A modified Delphi approach was employed to achieve consensus over three rounds of surveys. Proposed statements were generated in round 1. In the second round, panelists rated potential statements on a 5-point scale, with consensus defined as ≥80% agreement. Statements were subsequently prioritized in round 3, using a 1 (lowest priority) to 10 (highest priority) scale. Results Forty-six experts participated, consisting of 34 therapeutic endoscopists and 12 endoscopy nurses from six continents, with an overall 45.6% female representation (n=21). Forty-three item statements were generated in the first round. Out of these, 31 statements achieved consensus after the second round. These statements were categorized into General Considerations (n=6), Education (n=10), Pregnancy (n=4), Family Planning (n=2), Patient Safety (n=4), and Staff Safety (n=5). In the third round, accepted statements received mean priority scores ranging from 7.28 to 9.36, with 87.2% of statements rated as very high priority (mean score of ≥9). Conclusion This study presents consensus-based statements for the safe and effective use of fluoroscopy in gastrointestinal endoscopy, addressing the well-being of healthcare workers and patients. These consensus-based statements aim to mitigate the risks associated with radiation exposure while maintaining the benefits of fluoroscopy, ultimately promoting a culture of safety in healthcare settings.

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UNC Libraries
Published
2024-10-17
DOI
https://doi.org/10.17615/878s-ne67
Primary Topic
Esophageal and GI Pathology
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article
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article

Defining Standards for Fluoroscopy in Gastrointestinal Endoscopy using a Delphi Methodology

Natalia Causada Calo, Tony He, Rogier P. Voermans, Mariano Villarroel et al.
UNC Libraries
Esophageal and GI Pathology
article

Defining Standards for Fluoroscopy in Gastrointestinal Endoscopy using a Delphi Methodology

Natalia Causada Calo, Tony He, Rogier P. Voermans, Mariano Villarroel, Christopher Teshima, Harry Martin, Asma Alkandari, Eduardo Guimarães Hourneaux de Moura, Arjun Kundra, Cesare Hassan, Alessandro Fugazza, Samir C. Grover, Daniel Tham, Cecilia Binda, Daniel von Renteln, Alessandro Repici, Yusuke Fujiyoshi, Douglas G. Adler, Ganiyat K. Oyeleke, Alan N. Barkun, Reza Gholami, Nauzer Forbes, Sunil Gupta, Michel Kahaleh, Raymond S. Tang, Robert Bechara, Amrita Sethi, Todd H. Baron, Nikko Gimpaya, Payal Saxena, Kareem Khalaf, Yen‐I Chen, Catharine M. Walsh, Jeffrey D. Mosko, W. Reyes, Silvia Carrara, Jeanin E. van Hooft, Ahmed Mokhtar, Marco Spadaccini, Katarzyna M. Pawlak, Reem Z. Sharaiha, Ming‐Yan Cai, Roberta Maselli, Tyler M. Berzin, Tricia Aberin, Dawn Banavage, Alexandra Myszko, Bret T. Petersen, Faina Weinstein, Chooi Peng Low, Krista Navarro, Sharan B. Malipatil, Jowell Akina Chen, Heather Drake, Jessica Redman, Gary R. May, Paul James, Caleb Na, Melanie Im
article en

Abstract

Background and Study Aims The use of fluoroscopy in gastrointestinal endoscopy is an essential aid in advanced endoscopic interventions. However, it also raises concerns about radiation exposure. This study aimed to develop consensus-based statements for the safe and effective use of fluoroscopy in gastrointestinal endoscopy, prioritizing the safety and well-being of healthcare workers and patients. Methods A modified Delphi approach was employed to achieve consensus over three rounds of surveys. Proposed statements were generated in round 1. In the second round, panelists rated potential statements on a 5-point scale, with consensus defined as ≥80% agreement. Statements were subsequently prioritized in round 3, using a 1 (lowest priority) to 10 (highest priority) scale. Results Forty-six experts participated, consisting of 34 therapeutic endoscopists and 12 endoscopy nurses from six continents, with an overall 45.6% female representation (n=21). Forty-three item statements were generated in the first round. Out of these, 31 statements achieved consensus after the second round. These statements were categorized into General Considerations (n=6), Education (n=10), Pregnancy (n=4), Family Planning (n=2), Patient Safety (n=4), and Staff Safety (n=5). In the third round, accepted statements received mean priority scores ranging from 7.28 to 9.36, with 87.2% of statements rated as very high priority (mean score of ≥9). Conclusion This study presents consensus-based statements for the safe and effective use of fluoroscopy in gastrointestinal endoscopy, addressing the well-being of healthcare workers and patients. These consensus-based statements aim to mitigate the risks associated with radiation exposure while maintaining the benefits of fluoroscopy, ultimately promoting a culture of safety in healthcare settings.

UNC Libraries
University of North Carolina at Chapel Hill (US)
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Openalex Percentile: Top 66%
Esophageal and GI Pathology
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